Citizen Meds Review

Pricing and plan math

Citizen Meds itemizes each titration month so you can budget ahead. Semaglutide month 1 is $125; follow-on months appear at $245 for month 2, $295 for month 3, and $345 for month 4. Tirzepatide month 1 is $180, then $295, $345, $395, $445, and $545 through month 6.

Autoship option. Product cards show an optional subscription billed every 23 days at a small discount (for example, semaglutide month 1 at $118.75 instead of $125 and tirzepatide month 1 at $171 instead of $180). You can also buy one-time without a subscription.

What to expect: intake to delivery

Intake and eligibility. The semaglutide page notes a BMI >= 27 requirement and that all patients must start at month-1 doses, with a physician able to contact you within roughly 24 hours if more information is needed. Tirzepatide follows a similar titration path.

Processing and shipping. The medical form lists current pharmacy processing at 1-3 business days, while the shipping page says to plan for up to 5 business days. Orders are packaged within 48 hours of physician approval, and you select 2-Day or Overnight shipping at checkout.

Temperature and inspection. GLP-1 shipments arrive cold-packed; the site explains that many medications are refrigerated but stable out of the fridge for up to 14 days. Inspect packages within 48 hours and email support about any issues inside that window.

Compounded formulations and FDA context

Citizen Meds describes 503A compounding, including a tirzepatide formulation with glycine and B12, and clarifies it is not the FDA-approved Lilly product and is prepared for individual patients pursuant to prescription. Compounded drugs are not FDA-approved.

Regulatory backdrop matters. The FDA marked tirzepatide shortage resolved in late 2024 and semaglutide shortage resolved on February 21, 2025, which tightened allowances for routine compounding. Confirm your state and pharmacy rules when you order.

Payments, policies, and small print worth reading

Insurance and HSA/FSA. Citizen Meds does not take insurance. They accept HSA and FSA cards but only provide a standard receipt, not additional forms.

Refunds and cancellations. The refund policy is strict: medications are ordered specifically per patient and are non-refundable once approved. Orders not approved by a physician are refunded, and you must report shipment issues within 48 hours.

Who provides care and who ships. The consent references Blue Drop Health PLLC as the telehealth provider entity and notes that prescriptions are dispensed by affiliated pharmacies. You may request a different pharmacy, though availability is not guaranteed.

Legal venue. The terms specify Michigan law and venue in Livonia, Michigan, for disputes.

Badges on site. The homepage displays PCAA, PCAB, and LegitScript badges alongside other trust marks; verify current accreditation with the issuing organizations if that influences your decision.

FAQ

How much does it cost to start? Month-1 semaglutide is $125 and month-1 tirzepatide is $180 at the time of writing. Later months are listed per dose on the product grid.

Is there a subscription? A 23-day autoship appears on product cards with a small discount, and you can also buy one-time without subscribing.

How long does it take to arrive? Plan on 1-3 business days of pharmacy processing (the site also says up to 5), then your chosen 2-Day or Overnight shipping.

Are these FDA-approved medications? Citizen Meds describes 503A-compounded formulations such as tirzepatide with glycine and B12 that are not the FDA-approved brand products. Compounded drugs themselves are not FDA-approved.

Do you take insurance or HSA/FSA? Insurance is not accepted. HSA and FSA cards are accepted, but the site issues a standard receipt only.

What if there is a shipping problem? The FAQ asks you to inspect shipments within 48 hours of delivery and contact support within that window.

Bottom line